Fistulotomy
Gold standard laying open of the anal fistula tract — over 95% cure rate for simple low fistulas.
What is Fistulotomy?
Fistulotomy (laying open) is the gold standard surgical treatment for simple low anal fistulas. The skin and tissue overlying the fistula tract are divided with a surgical probe, converting the closed infected tunnel into an open groove that heals from the base by secondary intention.
Dr. Tagore Mohan Grandhi performs fistulotomy under day surgery anaesthesia. Pre-operative MRI confirms minimal sphincter involvement before fistulotomy is performed, ensuring the low risk of incontinence is maintained.
Suitable for patients with simple low anal fistulas — intersphincteric or low transsphincteric — where pre-operative MRI confirms minimal sphincter muscle involvement making fistulotomy safe.
How the Procedure Works
MRI Assessment
MRI pelvis confirms simple low fistula and sphincter relationship. Examination under anaesthesia (EUA) provides tactile confirmation.
Probe Placement
Malleable probe passed from external to internal opening, delineating the entire course of the fistula tract.
Tract Division
Tissue overlying the probe — skin, subcutaneous tissue, and minimal sphincter fibres — divided with diathermy, opening the tract.
Wound Curettage
Open wound curetted. Wound left open to heal from the base upward by secondary intention.
Wound Healing
Regular sitz baths and wound care over 4–6 weeks to achieve complete healing. Review at 2 and 6 weeks.
Outcomes
Who Needs This Treatment?
- →Over 95% cure rate — highest of any anal fistula procedure
- →Simple day surgery — no implants, no endoscopes, no complex reconstruction
- →Immediate resolution of pain, discharge, and recurrent abscess episodes
- →Well-established technique with an extensive long-term safety record
Fistulotomy is one of the most satisfying operations in anorectal surgery. A single 30-minute day procedure ends months or years of pain, discharge, and recurrent abscesses — with a 95%+ cure rate.
— Dr. Tagore Mohan Grandhi, Senior Consultant Gastrointestinal Surgeon, Lux Hospitals, Hyderabad
Fistulotomy Cost for Anal Fistula in Hyderabad
The cost of Fistulotomy in Hyderabad depends on factors such as the type of fistula, tract complexity, surgical requirements, and post-operative care.
For patients with a low and simple fistula tract, the approximate cost of Fistulotomy ranges between ₹30,000 and ₹60,000.
| Procedure | Approximate Cost Range |
|---|---|
| Fistulotomy | ₹30,000 – ₹60,000 |
The final cost may vary depending on your individual condition, fistula findings, hospital stay, and recovery requirements.
Factors That Influence Fistulotomy Cost
The overall cost may depend on:
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Type of fistula tract: Simple, low fistula tracts may require a different approach compared with complex or high fistulas.
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Pre-operative assessment: Clinical evaluation, imaging, and required investigations may influence the overall cost.
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Surgical requirements: Anaesthesia, procedure complexity, hospital stay, medications, and post-operative monitoring can affect the final estimate.
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Recovery and follow-up: Wound care, dietary guidance, and follow-up consultations may contribute to overall treatment expenses.
Is Fistulotomy Covered by Insurance?
Fistulotomy may be covered by health insurance when performed for a medically necessary condition. Coverage depends on your policy terms, insurer approval, and documentation requirements.
Our insurance support team can assist with policy verification, required documents, and cashless approval procedures.
- Checking your policy coverage
- Cashless approval process
- Required documentation
- Insurance-related queries before the procedure
Dr. Tagore Grandhi
Orthopaedic & Joint Replacement Surgeon
During consultation, Dr. Samhitha Reddy, Proctologist at Lux Hospitals, will assess your fistula type and recommend whether Fistulotomy is suitable for your condition. She will explain the procedure, recovery process, and provide a personalised cost estimate based on your treatment needs.
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Not sure which treatment is right for you?
Book a consultation with Dr. Tagore Grandhi and get a personalised treatment plan.